Monroe Smiles Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D00009214 Issued in WA

Legal business name

MONROE SMILES INC

Practice address

14650 N Kelsey St # 104-105
Monroe, WA 98272-1456

Phone

(360) 794-8580

Fax

(844) 470-1798

NPI assigned

Jun 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Johnson

Title

Office Manager

Phone

(360) 794-8580

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Leonard Johnson, D.D.S.

  • Dentist
  • Monroe, WA
  • NPI 1376651364
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184154155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 N KELSEY ST # 104-105",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721456",
            "telephone_number": "360-794-8580",
            "fax_number": "844-470-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 N KELSEY ST # 104-105",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721456",
            "telephone_number": "360-794-8580",
            "fax_number": "844-470-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-794-8580"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "D00009214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Family Dentistry, PLLC
• Monroe Family Medicine, LLC
• Monroe Inpatient Services PLLC
• Monroe Naturopathic Medical Clinic, Inc.
• Monroe School District
• Monroe Therapeutic Massage PS
• Monroe Vision Clinic, Inc
• Monroe Womens Care, PC
• Margot Ann Montel - Westover, LMP
• Joshua Jason Montemayor, PA-C

• General Practice Dentistry in Monroe, WA
• Providers in Monroe, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.